{"npi":"1174735856","type":"NPI-2","status":"active","name":{"display":"Sport And Spine Rehab Of Fairfax","other":[],"organization_name":"SPORT AND SPINE REHAB OF FAIRFAX","authorised_official":"Jay Greenstein"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":false,"state":null,"license":null},{"code":"225100000X","description":"Physical Therapist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"10807 MAIN STREET","city":"FAIRFAX","state":"VA","postal_code":"22303","country_code":"US","phone":"7038902222"},{"purpose":"MAILING","street_1":"11418 LIVINGSTON ROAD","city":"FT. WASHINGTON","state":"MD","postal_code":"20744","country_code":"US","phone":"2407660300"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"196849","state":null,"issuer":"ANTHEM"},{"type_code":"01","label":"Other","value":"20994125","state":null,"issuer":"PHCS"},{"type_code":"01","label":"Other","value":"07950876","state":null,"issuer":"AETNA PPO"},{"type_code":"01","label":"Other","value":"K218","state":null,"issuer":"BCBS OF NCA"},{"type_code":"01","label":"Other","value":"2159023","state":null,"issuer":"ALLIANCE"},{"type_code":"01","label":"Other","value":"1066011","state":null,"issuer":"AETNA HMO"},{"type_code":"01","label":"Other","value":"698870","state":null,"issuer":"CIGNA PPO"},{"type_code":"01","label":"Other","value":"1066011","state":null,"issuer":"ASHN CIGNA HMO"},{"type_code":"01","label":"Other","value":"2159023","state":null,"issuer":"MAMSI MDIPA OPTIMUM CHOIC"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-05-04","last_updated":"2025-09-11","_meta":{"source":"NPPES","snapshot_date":"2025-09-11","doc_url":"https://findmynpi.com/api"}}